Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Romano

Individual provider Physician Assistant · NPI 1114630019

Jaclyn Romano is a Physician Assistant in East Setauket, New York. Qualified in 2024, 2 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

16 Varsity Blvd
East Setauket, NY 11733-1040
Phone: (631) 921-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114630019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2023
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Setauket